County Of Brown

Specialty details in registry · Green Bay, WI

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At a glance

3150 Gershwin Drive, Green Bay, WI 54311-5859

NPPES record updated Feb 11, 2010. Public records can lag behind changes at a practice.

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  • Do you accept my specific insurance plan?
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Insurance participation and appointment availability are not established by these public records.

Practice location

3150 Gershwin Drive
Green Bay, WI 54311-5859
Professional details: NPI, taxonomy & registry record
NPI1275633687
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
251B00000X
Enumeration date
Sep 25, 2006
Record updated
Feb 11, 2010
More registry details
Provider type
Organization · Type 2
Other reported name
<UNAVAIL>

Reported taxonomies and licenses

Specialty details in registry

251B00000X · Primary

License reported: 1117 WI

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

3150 Gershwin Drive
Green Bay, WI 54311-5859
Phone
(920) 391-4839
Fax
(920) 391-4870
Mailing address
3150 GERSHWIN DRIVE

GREEN BAY, WI 543115859
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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